NPI | 1376123265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 821889) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NV RN821889) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-03-22 |